RN Clinical Manager, Home Health
4 weeks ago
Schedule: 40 Hours (Full Time)
Work-site Location: On-site
Industry: Home Health
CenterWell Branch Location: Charlotte University, North Carolina
Role Overview:
The Registered Nurse (RN) Clinical Quality Operations Supervisor, Home Health coordinates and oversees all direct care patient services provided by clinical personnel. This role is focused on both clinical operations and quality assurance initiatives within a home health setting.
- Manages clinical operations, workflow, and delivery of care to all patients for a specific location managed.
- Supervises and assigns work to multidisciplinary home care team to determine home health needs. Performs supervisory responsibilities in accordance with Company policies and procedures. Evaluates their team's performance relative to related goals and scope of role.
- Conducts and participates in in-service education and programs. Continually assesses staff education needs.
- Receives and manages referrals. Ensures the patient meets admissions needs and criteria. Will assign the appropriate discipline for level of care. Fosters relationships with referral/community sources. Participates in professional organizations and extracurricular care-related activities and programs.
- Delegates assessment and reassessment of patients, updating of care plans interpreting patient needs, all while adhering to local, state, and federal compliance standard and company policies and procedures. Responsible for review of the appropriate number of Case Managers and clinical staff documentation to include starts-of-care, resumption-of-cares, and re-certifications for appropriateness of care, delivery, and documentation requirements.
- Instructs, mentors and guides clinicians to promote more effective performance and delivery of quality home care services. Assists clinicians in establishing immediate and long-term therapeutic goals, prioritizing work, and the development of patient plans of care.
- Monitors and audits documentation for accuracy and compliance with regulatory agencies and requirements of third-party payers. Ensures audits and billing are completed timely in compliance with Medicare/CMS regulations.
- Responsible for QA/PI activities and initiatives. Partners with Utilization Review staff relative to tracking and analyzing of data related to key performance indicators (KPIs). Ensures outcomes are optimal related to care outcomes, efficiency, survey scores, STAR ratings, and quality assurance standards are regulated and are in place.
- Provides outcome planning and cross-function communication between all clinicians, team members, doctors, and vendors.
- Partners with the Branch Administrator and Finance Personnel on initiatives related to revenue, budget, and fiscal management.
- Ensures performance and referral activity meet company standards. Participates in sales and marketing initiatives.
- May provide occasional direct patient care on an infrequent basis, in times of emergency.
- Acts as Branch Administrator in his/her absence.
Required Experience & Additional Information:
- Graduate of an accredited School of Nursing.
- Active/unrestricted Registered Nurse (RN) state license that is in good standing.
- CPR/BLS certification.
- Valid state driver’s license, auto insurance and reliable transportation.
- Two years of experience as a Registered Nurse (RN).
- Minimum of one year of home health experience, required.
- Minimum of one year of nursing management experience in a home health, hospice or equivalent home care environment.
- Strong clinical background in home care clinical operations.
- Experience with OASIS, required.
- Experience with Homecare Homebase (HCHB) software, required.
- Knowledge and experience with the CMS PDGM billing model and requirements to bill for services.
- Normal Hours of Operation: M-F / 8a-5p (ET)
- On-Call Expectation: Yes, rotating on-call shift.
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